| NPI | 1740200526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PACHECO Medical Biller 310-548-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A25474) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |