NPI | 1851012058 |
---|---|
Doing Business As | LUZWAVE MEDICAL ARTS |
Entity Type | Organization |
Authorized Contact | LINDA MACK Authorized Official 626-826-2546 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2022-09-06 |
Last Update Date | 2022-09-06 |