| NPI | 1144824285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J PORTOCARRERO Authorized Official 626-461-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-03-14 |