| NPI | 1164696654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE BURMINGHAM Business Manager 626-792-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A-13802) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |