| NPI | 1407974967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ROELL Office Manager 714-545-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA g26245) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA a75677) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A37535) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-08-12 |