NPI | 1386009041 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL OLIVIER Chief Operations Officer 310-975-1450 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR MD168198) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |