| NPI | 1528518446 |
|---|---|
| Doing Business As | DELTA MEDICAL GROUP OF MONTEBELLO |
| Entity Type | Organization |
| Authorized Contact | HYDERALI M MUKADAM Owner 323-597-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 45890) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |