| NPI | 1215267471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIANO R SERRANO Billing Management 323-585-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine Nephrology | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2020-10-19 |