| NPI | 1710355029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-10-25 |