| NPI | 1881667400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LUCILLE FORTMANN CFO/Administrator 949-233-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A37462) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-07-21 |