| NPI | 1194517482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JIN Partner 949-244-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-08-11 |