| NPI | 1679733190 |
|---|---|
| Other Name | PROFESSIONAL COMPONENT |
| Entity Type | Organization |
| Authorized Contact | JENNIFER YONIS Operations Manager 714-639-9401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2009-03-25 |