| NPI | 1104234194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB NABIL HANNA MADY Owner 949-631-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine (Licence: CA 10166) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-06-07 |