| NPI | 1942499793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A BANKHARDT On Site Office Manager 714-771-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G25017) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2014-11-20 |