| NPI | 1639306376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL IAN DAVIDSON Physician/Owner 310-980-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A88990) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2009-06-22 |