| NPI | 1508296146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGASAMUDRA S. ASHOK Sole Proprietor 562-439-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A41589) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-12-17 |