| NPI | 1982950499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSUF SYED Administrator 714-563-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |