| NPI | 1235736067 |
|---|---|
| Former Legal Business Name | VILLAGE MEDICAL AT HOME OF INDIANA PC |
| Entity Type | Organization |
| Authorized Contact | RODNEY C ARMSTEAD CEO 310-418-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-02-13 |