| NPI | 1437422292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON G AXLINE Owner 310-829-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C23954) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2020-02-13 |