| NPI | 1891822417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DOUGLAS BECKER President 310-828-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA g68472) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |