| NPI | 1811166846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBRAHIM DUEL Physician 714-547-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A33882) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C50959) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2023-03-07 |