| NPI | 1457530420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT GOODMAN Owner 310-659-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2011-06-15 |