| NPI | 1962154419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ROSENBURG Medical Director 310-277-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |