| NPI | 1073756557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA RIVERA Director Of Billing Operations 626-757-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A76154) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |