| NPI | 1891818019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL GROSSMAN Owner 949-727-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G32042) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2014-06-27 |