INNOVATIVE MEDICAL GROUP NJ, LLC

SAN FRANCISCO, CA
NPI1417685256
Doing Business AsFORWARD
Entity TypeOrganization
Authorized ContactNATHAN FAVINI
Manager
415-349-0850
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-08-10
Last Update Date2022-08-10
Business Address
INNOVATIVE MEDICAL GROUP NJ, LLC
660 4TH ST # 202
SAN FRANCISCO, CA 94107-1618
Phone number: 415-349-0850
Mailing Address
INNOVATIVE MEDICAL GROUP NJ, LLC
660 4TH ST # 202
SAN FRANCISCO, CA 94107-1618
Phone number: 415-349-0850