| NPI | 1134704042 |
|---|---|
| Doing Business As | INNOVA PHYSICIAN NETWORK, INC |
| Entity Type | Organization |
| Authorized Contact | CARLOS G RODRIGUEZ CEO 626-398-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |