| NPI | 1225148489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANNING Administrator 310-453-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G52302) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-01-15 |