| NPI | 1497939177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERRETTA DEOROSAN President/Owner 323-779-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G73639) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |