| NPI | 1386696888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C MOORE Physician & President 310-453-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A71398) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |