| NPI | 1629490495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S GOTTLIEB Owner 323-816-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G34195) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA G34195) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-15 |