| NPI | 1467147710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL PATEL Chief Health Officer 855-478-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |