| NPI | 1033142344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MEHRDAD DAVIDSON President 310-855-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A67586) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-05-03 |