| NPI | 1508990664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN B NGO Physician 714-531-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A60674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A50341) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-05-24 |