| NPI | 1386841278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENS W DIMMICK Physician 310-540-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G26557) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A22090) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |