| NPI | 1215185640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBYLUZ KEENEY Credentialing Coordinator 714-965-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2024-10-30 |