| NPI | 1609069905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD MOSTAFA. SHABAN Owner 949-364-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A32547) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2018-08-30 |