| NPI | 1043241052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL THORSBAKKEN Director 323-942-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G25774) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-09-01 |