| NPI | 1548329485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W MAXEY President 310-680-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-12-16 |