NPI | 1326100199 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID TODD ASHER President 714-533-1491 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A67110) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2020-08-22 |