| NPI | 1265783948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BERRY Managing Partner 661-695-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G29499) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A11715) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2018-09-27 |