NPI | 1821163254 |
---|---|
Entity Type | Organization |
Authorized Contact | PARVANEH BAHMANI Physician 310-858-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A81644) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A81644) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |