| NPI | 1790864213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINIER A MANZANILLA Owner/President 323-441-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-03-01 |