| NPI | 1114679446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVYATAR EVRON CEO 310-733-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-10-01 |