| NPI | 1467741983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER IRENE WATTS Medical Biller 714-827-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G49359) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |