| NPI | 1992572234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH KARANDISH CEO/Owner 714-953-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-08-26 |