NPI | 1174263719 |
---|---|
Entity Type | Organization |
Authorized Contact | PREETIVI ELLIS CEO 310-880-0745 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-03-31 |
Last Update Date | 2022-03-31 |