| NPI | 1043641152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY FAYE SAND President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2013-12-28 |