| NPI | 1164972345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WATSON Office Manager 562-305-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A77236) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2018-03-17 |