| NPI | 1982298394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMPRASAD DANDILLAYA Owner 310-854-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |