| NPI | 1902386642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD TONY KANNARKAT Owner 949-642-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-08-29 |