| NPI | 1912653288 |
|---|---|
| Doing Business As | MEMORIALCARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TANYA DANSKY Senior Medical Director 657-241-3499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-09-09 |