| NPI | 1225208168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D BIGGLES Business Office Mamager 626-793-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA FPN23413) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-17 |