NPI | 1477085793 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH DESANTO Owner 626-616-6183 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G081151) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |