| NPI | 1588073209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHNAZ HAGHIGHI MOTLAGH CEO 949-290-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118279) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A118279) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-06-03 |