| NPI | 1477275840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FINLY ZACHARIAH Medical Director 310-623-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2025-07-07 |