| NPI | 1609600287 |
|---|---|
| Doing Business As | SOCAL MEDI-SPA |
| Entity Type | Organization |
| Authorized Contact | KATIA RIQUELME Np/Provider 310-880-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |