| NPI | 1952073157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EBILANE CEO 714-826-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-29 |