NPI | 1770326969 |
---|---|
Entity Type | Organization |
Authorized Contact | AVA SALARDA Owner 562-306-9739 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-06-15 |
Last Update Date | 2024-06-15 |