| NPI | 1063645182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT MCCLAIN Office Manager 310-537-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |