| NPI | 1700612322 |
|---|---|
| Other Name | BASHNONA INC |
| Entity Type | Organization |
| Authorized Contact | MOCHA ANDREWS Practice Manager 949-520-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |