| NPI | 1932403441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL A BOUTROS President 714-317-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A47792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32104) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |