| NPI | 1982271474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORIANNE REYNOSO Executive Director Of Clinical Op 949-545-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-10-04 |