| NPI | 1174620603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERASMUS DZANI KOTEY Physician Assistant 323-254-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA PA11297) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |