| NPI | 1144356627 |
|---|---|
| Doing Business As | INTER-AMERICAN MEDICAL GROUP. |
| Entity Type | Organization |
| Authorized Contact | DIANNE DOMINGO-FORASTE President 323-268-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G53343) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-04-20 |