| NPI | 1245530922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB B PELTA Owner 323-653-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G23606) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G23606) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |