| NPI | 1780843458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S LEE Owner 949-612-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A79889) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-10-22 |