| NPI | 1528689965 |
|---|---|
| Doing Business As | INNOVI MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARIAM S HASAN CEO 408-564-3492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |