NPI | 1174136899 |
---|---|
Former Legal Business Name | NOVAXIS LLC |
Entity Type | Organization |
Authorized Contact | JOY EKWUEME Owner 310-363-0322 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
251E00000X Home Health | |
251K00000X Public Health or Welfare | |
261QC1800X Clinic/Center, Corporate Health | |
261QH0100X Clinic/Center, Health Services | |
261QP2300X Clinic/Center, Primary Care | |
332B00000X Durable Medical Equipment & Medical Supplies | |
405300000X Prevention Professional | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2022-01-30 |