| NPI | 1750315941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE MANDZUCH Office Manager 310-855-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G22792) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-07-13 |