| 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 |