| NPI | 1104889138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Financial Officer 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine | |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| 207PT0002X Emergency Medicine, Medical Toxicology | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-03-11 |