| NPI | 1134419021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JACQUE AHDOOT President 310-741-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A98763) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2012-03-01 |