| NPI | 1548665375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN NEAL President 310-326-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A 7202) |
| 207R00000X Internal Medicine (Licence: CA 20A 5905) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 20A 7202) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |