| NPI | 1265740930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA GOMEZ Office Manager 323-725-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |