| NPI | 1558601492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWRENCE SHAEVITZ President 714-692-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A062657) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |