| NPI | 1760579924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MC MAINS CFO 949-764-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |