| NPI | 1992993497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ALANE REIMER Credentialing 949-294-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G74763) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2012-01-20 |