| NPI | 1255092052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W ANGERT Owner 310-923-6287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| 174H00000X Health Educator | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |