| 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 |