| NPI | 1770864621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYN JARALD HENDERSON Partner 714-981-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A4401) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2018-11-28 |