| NPI | 1518632637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYAM PRASAD GADDAM Medical Doctor / President 714-636-9100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |