| NPI | 1497948194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROKH POORMEHR D.O., President 949-248-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CA 20A6385) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A6385) |
| 261Q00000X Clinic/Center (Licence: CA 20A6385) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2015-03-11 |