| NPI | 1407989247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE RIDGEWAY Office Manager 562-426-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-08-08 |