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Physicians Internal Medicine

Provider NPI: 1114284171

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
1245 16TH ST STE 125  SANTA MONICA, CA 90404-1240 US
Tel: 310-899-7566  Fax: --

Business Mailing Address:
5767 W CENTURY BLVD STE 400  LOS ANGELES, CA 90045-5631 US
Tel: --  Fax: --

NPI Information:
NPI: 1114284171
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207R00000X





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