| NPI | 1598042178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVANAND RAO POLE President 562-246-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A101547) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA A101547) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2015-10-09 |