| NPI | 1841665254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL OLIVIER Chief Operations Officer 310-975-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 53488) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |