| NPI | 1013194091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHDIEH FALLAHTAFTI Physician/Owner 949-654-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 20A6766) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |