| NPI | 1164206199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DAVIS Owner 949-215-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |