| NPI | 1639234354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY VERNON Biller 310-478-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |