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 |