| NPI | 1538740618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOMAL DESAI Owner 661-201-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |