| NPI | 1740653195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SCOTT ALTERMAN Owner 949-250-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A6838) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |