| NPI | 1962978114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER MOGHADDAM CEO/ Owner 949-705-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-07-16 |