| NPI | 1821055054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D BIGGLES Business Office Manager 626-793-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA FNP23413) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-06-17 |