NPI | 1700612322 |
---|---|
Former Legal Business Name | DR MONA GHOBRIAL MD INC |
Former Legal Business 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 | 2024-12-05 |