NPI | 1235182569 |
---|---|
Doing Business As | PROVIDENCE LITTLE COMPANY OF MARY MEDICAL INSTITUTE |
Entity Type | Organization |
Authorized Contact | KELLY KURCZ Chief Operating Officer 310-793-8075 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
207V00000X Obstetrics & Gynecology | |
208M00000X Hospitalist | |
207P00000X Emergency Medicine | |
207N00000X Dermatology | |
207RR0500X Internal Medicine, Rheumatology | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207X00000X Orthopaedic Surgery | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2011-02-09 |