| NPI | 1972315646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRIAN MCCONNELL Owner 714-595-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |