| NPI | 1922466929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJIA MONUGION N/A 909-373-4632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Additional Taxonomies | 174400000X Specialist |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 246YC3302X Specialist/Technologist, Health Information Coding Specialist, Physician Office Based | |
| 247200000X Technician, Other | |
| 2472E0500X Technician, Other EEG | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |