| NPI | 1639457153 |
|---|---|
| Other Name | BANSUAN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAINER G BANSUAN Medical Director 626-455-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A51021) |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: CA A51021) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |