| NPI | 1750771762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DENNIS Chief Medical Officer 657-237-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD170188) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-03-21 |