| NPI | 1811362585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H DOWALTER Sole Owner 949-292-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96391) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |