NPI | 1629504915 |
---|---|
Entity Type | Organization |
Authorized Contact | VIPUL R DEV Owner 661-327-2101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA a63639) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2017-05-05 |