| NPI | 1548574056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT BLOCK Medical Doctor 323-724-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G24174) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA G24174) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |