| NPI | 1790019370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYN MOTTA President/Owner 714-505-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65953) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |