NPI | 1043325731 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRENCE J FITZGIBBONS Medical Director 213-481-0584 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G32025) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |