| NPI | 1336548700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE Billing Manager 310-918-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G70393) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-08-23 |