| NPI | 1740634898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAR PATEL Director 949-215-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A75898) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A75898) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-18 |