| 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 |