| NPI | 1184631251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNIE PRUDENTE Partner 310-829-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-11-26 |