| NPI | 1720177439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CATHERINE MOORE President/Physician 310-829-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A71398) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-04-24 |