| NPI | 1043508856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT ALPERT Medical Director 310-230-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |