NPI | 1346790516 |
---|---|
Doing Business As | ASCENSION FAMILY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | ADAM PHILLIP SCHULTE Physician 714-904-5687 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A14576) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |