| NPI | 1629562954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M BLUMENTHAL Owner/Medical Director 949-346-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 16428) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |