NPI | 1083664841 |
---|---|
Former Legal Business Name | PRESBYTERIAN INTERCOMMUNITY HOSPITAL, INC. |
Doing Business As | PIH FAMILY PRACTICE CENTER |
Entity Type | Organization |
Authorized Contact | SUE R PONCE (AKA CARLSON) Special Projects 562-698-0811 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A52601) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-07-27 |