| NPI | 1821132655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI P MAKAM Medical Doctor 714-774-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A40900) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-08-25 |