| NPI | 1447576145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BENJAMIN WITT President 323-466-7333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G3366) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G3366) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G3366) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |