NPI | 1245698323 |
---|---|
Entity Type | Organization |
Authorized Contact | SAJIA MONUGION N/A 909-373-4633 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
246RP1900X Technician, Pathology, Phlebotomy | |
246Z00000X Specialist/Technologist, Other | |
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
247200000X Technician, Other | |
251K00000X Public Health or Welfare | |
261QA1903X Clinic/Center, Ambulatory Surgical | |
261QH0100X Clinic/Center, Health Services | |
261QM2500X Clinic/Center, Medical Specialty | |
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
302F00000X Exclusive Provider Organization | |
305R00000X Preferred Provider Organization | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |