| NPI | 1194031195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL SUSKO Owner 310-829-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 118282) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-02-21 |