| NPI | 1528138823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON KHAVARIAN Owner/President 949-645-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A79842) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-01-31 |