| NPI | 1558387340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE LO COO/Practice Manager 949-503-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A68666) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-11-13 |