| NPI | 1104032911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROSS MILLER Owner 310-657-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G59739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G59739) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA G59739) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G59739) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-06-18 |