NPI | 1528749751 |
---|---|
Doing Business As | VETERAN MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MAMIE SARPOMA SEFA-BOAKYE Medical Director And CEO 909-210-6138 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-07-31 |