| NPI | 1306250212 |
|---|---|
| Doing Business As | MARINA VILLAGE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAGMOHAN S KHAIRA President 510-205-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A81083) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |