NPI | 1134535750 |
---|---|
Doing Business As | METROHEALTH STATION, PC |
Entity Type | Organization |
Authorized Contact | KATHERINE JOSEPHINE SULLIVAN CEO/President 323-730-1205 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 14280) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53973) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA 87429) | |
1223G0001X Dentist, General Practice (Licence: CA 63162) | |
106H00000X Marriage & Family Therapist (Licence: CA 80856) | |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 22533) | |
2251N0400X Physical Therapist, Neurology (Licence: CA 14280) | |
2251P0200X Physical Therapist, Pediatrics (Licence: CA 40379) | |
2251G0304X Physical Therapist, Geriatrics (Licence: CA 15587) | |
1223G0001X Dentist, General Practice (Licence: CA 44450) | |
Enumeration Date | 2014-07-02 |
Last Update Date | 2016-05-18 |