| NPI | 1154006401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA BRENNAN Billing/Credentialing Manager 626-264-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-09-20 |