| NPI | 1982840518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RENEE SMITH Chief Officer 949-378-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A98889) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |