| NPI | 1376674689 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KHAJA R AHMED Owner 310-370-4660  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A45423)  | 
| Enumeration Date | 2007-03-08 | 
| Last Update Date | 2008-08-12 |