NPI | 1225376213 |
---|---|
Doing Business As | ACEVEDO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PAUL SUCGANG President 626-389-8448 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9629) |
Enumeration Date | 2013-01-25 |
Last Update Date | 2013-01-25 |