| NPI | 1841354925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS S FULLER Authorized Offical 310-208-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G83197) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-05-09 |