| NPI | 1417008707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD M SHABAN Medical Director Owner 949-364-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CA 060000405) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-06-07 |