| NPI | 1497702724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG DENICOLA CEO 714-646-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 247100000X Radiologic Technologist | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-04-27 |