| NPI | 1902085277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE CASELLA Office Manager 626-449-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G29872) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2009-06-17 |