| NPI | 1063079176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASRA SEDARATI CEO 424-249-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-08-08 |