| NPI | 1730643651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE HAZELITT Physician 310-408-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |