| NPI | 1962874107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JASON KORC Physician 949-764-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A105862) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |