NPI | 1295278265 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER ANTHONY CHRISTENSEN Physician 310-804-3414 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A11091) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11091) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2019-09-18 |