| NPI | 1982839809 |
|---|---|
| Doing Business As | SOUTH MAIN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CARMEN BUCCI Corporation Secretary/Treasurer 714-547-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A63690) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2010-06-09 |