NPI | 1114692985 |
---|---|
Former Legal Business Name | VALIANTMD |
Entity Type | Organization |
Authorized Contact | SUPRIYA KIDAMBI Manager 562-999-6519 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2021-08-12 |
Last Update Date | 2021-08-12 |