| NPI | 1851587448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ATAEE C.F.O. 949-355-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A106704) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A106704) |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA A106704) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2011-10-03 |