NPI | 1407058787 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCELE A HAYMOND Manager 714-456-8721 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |