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 |