| NPI | 1902045040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDUAMA KELLY-DOKUBO President 626-296-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |