| NPI | 1407963002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON RICHARD FAYNER President 714-827-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G34800) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-01-31 |