| NPI | 1477085793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. DESANTO CEO 626-616-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G081151) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2026-05-18 |