| NPI | 1699194423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROULA JAMAL Admin 949-306-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A46078) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-01-04 |