| NPI | 1780066613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYS R DRANGE Owner 626-795-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA a54654) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |