| NPI | 1174037493 |
|---|---|
| Doing Business As | KETCHUM HEALTH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDON GROVE Director Of Medical Clinics 714-992-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 183500000X Pharmacist |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2024-01-18 |