| NPI | 1750110672 |
|---|---|
| Doing Business As | IDEAL IPA |
| Entity Type | Organization |
| Authorized Contact | JULIE D DONG Secretary 657-217-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |