| NPI | 1710108261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM CALDERON Billing Manager 310-343-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |