| NPI | 1992218101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN SANCHEZ Manager 310-379-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A118026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95007657) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |