| NPI | 1033307061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DE LOS SANTOS Office Manager 626-564-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53393) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |