| NPI | 1164221685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN SALAMATIPOUR Chief Medical Officer 949-200-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2026-05-11 |