NPI | 1295818565 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY LOUIS SUGARMAN President 949-829-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G81230) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-03-19 |