| NPI | 1639304843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN KATHLEEN MCDONALD President 626-872-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102543) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2010-12-02 |