NPI | 1265830673 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAJAKTA ABHIJIT DESHPANDE Md, Director 714-252-9150 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA MD133444) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA MD133444) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2014-12-17 |