| NPI | 1861620205 |
|---|---|
| Doing Business As | DEJA VU MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BARBARA LYLE General Manager 626-574-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2010-09-10 |