| NPI | 1396055414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY BOUTROS Admin 714-317-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A47792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32104) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A37535) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |