| NPI | 1154649929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY J BOEDECKER Office Manager 714-835-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C52710) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |