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 |