| NPI | 1508136326 |
|---|---|
| Former Legal Business Name | SAN MIGUEL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SEPEHR KATIRAIE Owner 323-588-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A54478) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-08-09 |