| NPI | 1376132233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID KLAUSNER CEO 626-214-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-07-12 |