| NPI | 1649617804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C DOONAN Medical Director 949-552-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A78014) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-07-30 |