| NPI | 1457990152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE VELA Administrator & Contracts Manager 949-247-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2023-07-25 |