NPI | 1952686271 |
---|---|
Doing Business As | SANAVIDA VERNON |
Entity Type | Organization |
Authorized Contact | ALEJANDRO L GONZALES Owner 626-664-1279 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208D00000X General Practice | |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |