| NPI | 1417191990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L. JOHNSON President 714-402-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G62317) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G62317) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G62317) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |