| NPI | 1679995997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS D'AMBROSIO Member 310-346-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G73590) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA g73590) |
| 207Q00000X Family Medicine (Licence: CA G73590) | |
| 207R00000X Internal Medicine (Licence: CA G73590) | |
| 207Y00000X Otolaryngology (Licence: CA G73590) | |
| 2085B0100X Radiology, Body Imaging (Licence: CA g73590) | |
| 208600000X Surgery (Licence: CA g73590) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G73590) | |
| 209800000X Legal Medicine (Licence: CA g73590) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |