NPI | 1255573119 |
---|---|
Former Legal Business Name | DR. ALWAN'D OFFICE |
Entity Type | Organization |
Authorized Contact | ALEX TORRES Office Manager 909-981-9991 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A44569) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2009-03-24 |
Last Update Date | 2023-12-20 |