| NPI | 1639268139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH J KADAKIA Owner President 949-492-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine |
| 207QA0401X Family Medicine Addiction Medicine | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-03-25 |