| NPI | 1992473698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA LOU WSIAKI Project Manager 323-254-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |