NPI | 1487276812 |
---|---|
Doing Business As | ILLUMINARY MEDICAL GROUP, PC |
Entity Type | Organization |
Authorized Contact | JIM SERAJ Chief Executive Officer 949-295-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-05-07 |