| NPI | 1063146041 |
|---|---|
| Doing Business As | REHAN MUTTALIB MD |
| Entity Type | Organization |
| Authorized Contact | MARLON SANTIAGO Operations Manager 310-534-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-10-24 |