| NPI | 1457012379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA LOU WSIAKI Project Manager 323-254-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-03 |