| NPI | 1700652682 |
|---|---|
| Doing Business As | NORTH PENINSULA MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | PAUL ANDREW LLAMOSO Chief Of Finance 310-347-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |