| NPI | 1760520886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANNE SULLIVAN Cpc 562-595-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A17703) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-05-30 |