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 |
Enumeration Date | 2022-09-13 |
Last Update Date | 2025-01-09 |