| NPI | 1881914646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY DURAIRAJ Physician 6263-316-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A56015) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2012-10-10 |