| NPI | 1942521208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. DOHERTY President / CEO 310-540-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A22240) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |