NPI | 1336749274 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LOGAN Authorized Official 626-320-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2020-10-29 |
Last Update Date | 2024-11-11 |