NPI | 1194926592 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIAN JALIL Owner 562-945-7671 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA W10442) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA W10442) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2015-01-20 |