| NPI | 1013454495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO M ZAHEDI Medical Director 949-371-9862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A138224) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2024-04-24 |