NPI | 1508136326 |
---|---|
Doing Business As | SEP MEDICAL CLINIC |
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 | 2025-08-14 |