| NPI | 1588054720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ROMAN POMOHAC Clinic Director 323-938-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC28324) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A41887) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-12-20 |