| NPI | 1619368081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE JIWANMALL Manager 805-496-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A23840) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |