| NPI | 1144470220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROTH Billing Manager 818-706-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52852) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-11-04 |