| 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 |