| NPI | 1750712675 |
|---|---|
| Former Legal Business Name | ISOS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SANDRA A TETREAULT Ownder 562-217-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |