| NPI | 1386757086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN PIETRUSZKA Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A30858) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-08-20 |