NPI | 1578838678 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL COCCO Owner 661-255-6095 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A40262) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A40262) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2012-12-26 |