| NPI | 1124158324 |
|---|---|
| Doing Business As | SOUTH BRISTOL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MANSOOR MOSLEY Doctor 714-754-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A41405) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-11-20 |