| NPI | 1629536404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SIEW Secretary 213-605-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-07-17 |