| NPI | 1750528170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HAGA President 949-226-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A81573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A64412) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2016-06-29 |