| NPI | 1952325532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY E HILL Practice Manager 949-640-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A061528) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-04-05 |