| NPI | 1760949044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROWNELL PAYNE President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-02-28 |