| NPI | 1871036681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LOBUE Administrator 714-741-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 12208) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 12208) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |