NPI | 1073603924 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL FINN CASSEDY Medical Director Md 949-707-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-08-22 |