NPI | 1487897849 |
---|---|
Entity Type | Organization |
Authorized Contact | RON GREENO Sole Member 949-399-6003 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208M00000X Hospitalist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2009-04-15 |
Last Update Date | 2009-04-17 |