| NPI | 1255523312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J. ISHIBASHI Business Manager 310-453-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G36942) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2015-07-20 |