NPI | 1366480790 |
---|---|
Entity Type | Organization |
Authorized Contact | JERALD ROBERT STAFFORD President 949-458-1223 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A25139) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A25139) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2007-10-12 |