| NPI | 1730263914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART R GRANT Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G29526) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-04-09 |