| NPI | 1508109877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHELRED E CARTER Sole Owner 323-260-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A29534) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-05 |