| NPI | 1760589097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM JAVAHERI CEO 949-389-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A064239) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-12-06 |