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 |