| NPI | 1558353144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN-ICHI OHARA Owner 949-654-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-02-18 |