| NPI | 1225063340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY AGUIRRE Office Manager 714-979-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A43693) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A43693) | |
| 207R00000X Internal Medicine (Licence: CA A42385) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A42385) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-08-13 |