NPI | 1780832972 |
---|---|
Doing Business As | SIERRA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | CHARLES LIM Medical Director 818-654-3463 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
208D00000X General Practice | |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2009-11-18 |