| NPI | 1043674815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ALI HASSAN President 949-355-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2103632) |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-05-31 |