| NPI | 1851075907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK Q PHAN President 951-324-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |