| NPI | 1699980995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DOUGLAS MADOKORO President 949-548-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G30192) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-08-24 |