| NPI | 1740418680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALAN HEINRICH President Of The Board 949-364-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A64307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G69073) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA G66486) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |