| NPI | 1750398491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRKO ANDREW GIACONI President 310-832-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A25678) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-02-28 |