| NPI | 1184799520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WAYNE LANDIS President 310-822-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G29787) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G29787) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G29787) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-04-20 |