| NPI | 1689067985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE KOOKOOTSEDES President 949-335-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A62644) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |