| NPI | 1124848999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |