| NPI | 1750567244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY K MCCANN Md 949-574-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A101853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101853) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2014-02-28 |