| NPI | 1528113149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL WHITAKER MAXEY President 310-680-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C38014) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-03-25 |