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 |