| NPI | 1023249430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EVAN LEE Owner 949-645-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-11-08 |