| NPI | 1306021225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU LORETO Billing Manager 310-559-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A52285) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |