NPI | 1912106238 |
---|---|
Doing Business As | THE PROMETA CENTER, INC. |
Entity Type | Organization |
Authorized Contact | CHUCK TIMPE Assistant Secretary Of The Corp 310-444-4320 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207RA0401X Internal Medicine, Addiction Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2007-07-17 |
Last Update Date | 2008-02-06 |