| NPI | 1972627586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS MELAHOURES Medical Director 949-951-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A40532) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A40532) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-06-07 |