NPI | 1093896862 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN D CARRICO President 949-362-8877 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111NR0400X |
207R00000X Internal Medicine | |
207X00000X Orthopaedic Surgery | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2009-03-25 |