NPI | 1700882156 |
---|---|
Doing Business As | INGLEWOOD MEDICAL & MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | PRAMESH P SHARMA Director 661-254-6630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA 960000232) |
Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
Enumeration Date | 2005-06-21 |
Last Update Date | 2022-09-20 |