| 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 |