NPI | 1528579604 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE P MARON President 626-447-0296 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2017-10-17 |
Last Update Date | 2018-12-12 |