| NPI | 1104032911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROSS MILLER President 310-747-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G59739) |
| Additional Taxonomies | 208VP0000X (Licence: CA G59739) |
| 207R00000X Internal Medicine (Licence: CA G59739) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA G59739) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2025-10-17 |