| NPI | 1790990257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM CALDERON Billing Manager 310-343-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A63326) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-01-26 |