| NPI | 1023788684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BAILEY General Counsel 949-284-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-03-06 |