NPI | 1003379983 |
---|---|
Doing Business As | POSITIVE HEALTHCARE MOBILE |
Entity Type | Organization |
Authorized Contact | DONNA STIDHAM Director Of Managed Care 323-436-5025 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-09-12 |