| NPI | 1659553253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YRASTORZA Rcm 202-269-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 302F00000X Exclusive Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2024-10-11 |