| NPI | 1255521878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZIN MOHTADI President/Owner 949-306-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9219) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |