| NPI | 1548348113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D SCHAFER Medical Director 714-665-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-10-15 |