| NPI | 1205968369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD ANTHONY COX Owner 562-461-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA 0065723) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |