NPI | 1801199864 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMACHANDRAN SRINIVASAN Rheumatologist/Md 626-458-8401 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20958) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA20958) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2010-12-14 |