| NPI | 1891148102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VOLPE Authorized Representative 949-313-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| 364SC2300X Clinical Nurse Specialist, Chronic Care | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-09-18 |