| NPI | 1811552219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA T CALLAHAN CEO 310-651-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |