| NPI | 1013552124 |
|---|---|
| Doing Business As | ACT MEDICAL GROUP ARIZONA |
| Entity Type | Organization |
| Authorized Contact | ZANDRA GONZALES CFO/COO 213-709-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |