| NPI | 1558930859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JENSEN AO 626-218-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 208600000X Surgery | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-01-19 |