| NPI | 1124806252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JACOB GHODS CEO 310-430-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |