| NPI | 1912185463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGARAO PANGULURI Secretary 562-693-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A52987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A52987) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |