NPI | 1821174137 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN H HAMILTON Provider/President 949-651-9671 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-10-29 |
Last Update Date | 2023-09-07 |