| NPI | 1306983812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY DO Clinic Manager 714-769-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A69222) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207R00000X Internal Medicine (Licence: CA MN1982152) | |
| 207R00000X Internal Medicine (Licence: CA MP2557025) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-11-01 |