| NPI | 1093903965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA GLEN CHRISTIE Manager 310-659-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA G74151) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-29 |