| NPI | 1114779022 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Provider Services 947-522-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-06-27 |