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 |