| NPI | 1730307091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E HARRIS Owner 310-605-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G42622) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-07-17 |