NPI | 1629321849 |
---|---|
Doing Business As | ASANTE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KAREN ANN FONG Owner 805-242-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G70251) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G70251) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2013-03-06 |