| NPI | 1316003635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LAWRENCE RICEBERG Owner 310-550-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A22329) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-09-22 |