| NPI | 1922305853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL BROCKMAN Physician 310-277-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G032969) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |