| NPI | 1255322012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAE HAYES Office Manager 310-274-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A29402) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |