| NPI | 1922425990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZIN MOHTADI Medical Director 949-491-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9219) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |