NPI | 1780781997 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISHNA JATAVALLABHULA MOHAN Medical Director 626-331-0175 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-08-18 |