| NPI | 1760248900 |
|---|---|
| Other Name | SOUTHSTATE MEDICAL INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | AMANDA ADEN President 949-401-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-27 |