| NPI | 1760786552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DOCTOR Administrator 323-697-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| 208800000X Urology | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-10-17 |