| NPI | 1720130800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MELISSA DINDOT President 949-249-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65427) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-11-14 |