| NPI | 1992850879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA J BERENS Vice Pre & Sec. Of Corporation 310-828-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A-22556) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A22556) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-06-10 |