NPI | 1992178982 |
---|---|
Doing Business As | CAREMORE IRVINGTON |
Entity Type | Organization |
Authorized Contact | OFELIA KIEDPOOL Practitioner Management 562-977-4639 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 29936) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2017-08-07 |