| NPI | 1770828543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIJOLE GLAZE Physician 213-385-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A63700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA14180) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2013-01-08 |