| NPI | 1932704905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD FIELDS Owner 714-552-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-05-28 |