| NPI | 1659919660 |
|---|---|
| Doing Business As | THRIVE MEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOOMAN JEFF NAZAR CEO 818-692-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2022-01-07 |