| NPI | 1801045778 |
|---|---|
| Doing Business As | PRESTIGE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | VLAD NUSINOVICH President 310-623-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A92996) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2014-05-14 |