| NPI | 1366639452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN G RENNER Owner 310-556-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A34010) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-11-08 |