| 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 |