| NPI | 1891405767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAHZAD Manager 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |