| NPI | 1023230638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB K AHDOOT Owner 949-753-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A46389) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-06-27 |