| NPI | 1508019134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL EVANS JOHANSON Owner/President 714-541-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G17121) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-01-16 |