| NPI | 1306073994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDO SUCHOV Owner 818-905-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A39778) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2025-09-08 |