| NPI | 1417343690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED TARR Medical Director 949-813-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-11-26 |