NPI | 1720725583 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMIN MONTAZERI CEO 949-463-9876 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Additional Taxonomies | 208D00000X General Practice |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-05-13 |
Last Update Date | 2022-06-30 |