| NPI | 1336235506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E JENKINS Owner 949-574-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-12-14 |