| NPI | 1164932414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL BAIG CEO 949-939-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20a13045) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A13045) |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2017-10-01 |