NPI | 1487987905 |
---|---|
Entity Type | Organization |
Authorized Contact | KUSUM RUDRAPPA Medical Director 213-388-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A37070) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA G87522) |
207QS1201X Family Medicine, Sleep Medicine | |
207RS0010X Internal Medicine, Sports Medicine (Licence: CA A37070) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A54260) | |
207Y00000X Otolaryngology (Licence: CA G36302) | |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA PSY12331) | |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |