| NPI | 1407987498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA RACHAEL KOSSUTH President 310-490-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A8025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A8025) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A8025) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A8025) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-06-13 |