| NPI | 1326726076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J BATES Secretary 310-658-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |