NPI | 1154184018 |
---|---|
Entity Type | Organization |
Authorized Contact | DIPALI P RADIA CEO 714-553-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |