| NPI | 1285988410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL CLYDE AUSTIN CEO 949-644-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA C36529) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |