| NPI | 1073123220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SLOYER Nurse Practitioner 949-298-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-10-13 |