| NPI | 1518975879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H TAKEMURA M.D. 310-214-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G58448) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G29961) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-10-19 |