| NPI | 1457954224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ALLEN FISHER Partner And Share Holder 714-550-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |