| NPI | 1619154457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA J SHAW Owner 310-537-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA G50246) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |