NPI | 1063560902 |
---|---|
Former Legal Business Name | FOUAD BEN ISAAC MD |
Entity Type | Organization |
Authorized Contact | FOUAD E BEN-ISAAC Owner Medical Doctor 310-821-1187 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-09-15 |