NPI | 1295345882 |
---|---|
Former Legal Business Name | CENTRIC HEALTHCARE, A PROFESSIONAL COPORATION |
Entity Type | Organization |
Authorized Contact | PRUDENCE LU Clinical Director 626-288-8288 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-08-07 |
Last Update Date | 2020-08-07 |