| NPI | 1548949977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINOO DARGAH CEO 949-776-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-08-07 |