| NPI | 1902906068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEASSA GAIL JOHNSON Physician 323-232-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-03-27 |