NPI | 1326052689 |
---|---|
Entity Type | Organization |
Authorized Contact | EDUARDO RAUL DI SARLI Medical Director 310-763-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A36991) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G48547) |
208D00000X General Practice (Licence: CA A36991) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2025-09-11 |