| NPI | 1912114075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI IBARRA Billing Manager 626-657-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A53493) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-01-18 |