NPI | 1750463352 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE VIRGINIA BOCK President 949-645-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G35572) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2014-01-06 |