| NPI | 1467478008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MARK TILSEN Managing Partner 949-720-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-08-25 |