| NPI | 1316390883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL THOMAS URCIS Owner/ 714-618-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 45062) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |