| 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 | 207N00000X Dermatology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-02-09 |