Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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The

Organization Clinic/Center · NPI 1639544505

The is a Clinic/Center in Brea, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1215 W Imperial Hwy Ste 101
Brea, CA 92821-3738
Phone: (714) 680-8335
Fax: (714) 680-8314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence A064054 (CA)

Record details

NPI number1639544505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Robinson — Chief Medical Officer · (323) 730-1920
NPI enumeratedDecember 3, 2015
Last updated in NPPESDecember 3, 2015
Mailing address831 W Las Palmas Dr, Fullerton, CA 92835-1439

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