| NPI | 1063050193 |
|---|---|
| Doing Business As | LUZWAVE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA MACK Administrator/Delegated Official 951-801-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |