| NPI | 1568767986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM G NIEVA Office Manager 562-595-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a68932) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |