| NPI | 1255738159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRAIG Chief Medical Officer 949-292-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52100) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |