| NPI | 1003417643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER MIRHOSENI Owner/President 949-485-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |