NPI | 1376571216 |
---|---|
Doing Business As | GREATER POMONA MEDICAL & REHAB CENTER |
Entity Type | Organization |
Authorized Contact | PETER (PHUC) THOAI LAM CEO 714-209-8319 |
Organization Subpart ? | No |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT10558) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A88219) |
225100000X Physical Therapist (Licence: CA PT28250) | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2020-08-22 |