| NPI | 1124358452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWAN KUMAR VERMANI Owner 626-966-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A62331) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |