| NPI | 1093126609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN XEPHARY JAIRAM President 949-429-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A101534) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2017-01-10 |