| NPI | 1659740264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOB DANIEL AUGUSTINE Physician Specialist 323-343-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA A107596) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |