| NPI | 1124217179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAND DE SILVA Owner 714-673-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A46400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A46400) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A46400) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A46400) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2020-02-07 |