Theresa Mlm Inc.

NPI #1104468719 in Newbury Park, California

Provider Information

NPI Number: 1104468719
Entity Type: Organization
Organization Name: Theresa Mlm Inc.
Primary Specialty: General Practice
Enumeration Date: Oct 15, 2019
Last Updated: Oct 15, 2019

Practice Location

Address: 2904 THERESA DR.
Address 2: SUITE #3
City: Newbury Park
State: California
ZIP Code: 91320-3152
Phone: (805) 410-4566

Authorized Official

Name: MR. ARAM MKHITARIAN, D.O.
Title: MEDICAL DIRECTOR
Phone: (805) 410-4566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

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