| NPI | 1700187291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ALANE REIMER Credentialing 949-294-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G25323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G25323) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2012-01-20 |