| NPI | 1730430703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE THOMAS Physician 949-584-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036-131263) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-131263) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-08 |