| NPI | 1003829060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYS DRANGE CFO/Director 626-795-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A54654) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: G85638) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-02-16 |