| NPI | 1962804302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE E. BOTNICK President 323-595-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |