NPI | 1083002208 |
---|---|
Entity Type | Organization |
Authorized Contact | LORIE CONOVER Billing Manager 818-507-4732 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-29 |