| NPI | 1689942682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDISON REEDE TARR President And CEO 714-225-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: MI 5101015861) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MI 5101015861) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |