NPI | 1881993210 |
---|---|
Doing Business As | MADISON PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ADEEL BODLA Physician 626-644-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-03-24 |
Last Update Date | 2023-08-01 |