| NPI | 1043359433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLONGO GOMBOSUREN Office Manager 949-752-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74672) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |