| NPI | 1528446580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH BHUTA Resident/Owner 310-559-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A29467) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |