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 |