Southern California Associated Neurologists Ipa INC
NPI #1144565805 in San Dimas, California
Provider Information
- NPI Number
- 1144565805
- Entity Type
- Organization
- Organization Name
- Southern California Associated Neurologists Ipa INC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Dec 6, 2012
Practice Location
- Address
- 1330 W COVINA BLVD
- Address 2
- SUITE 103
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3200
- Phone
- (909) 982-2719
Authorized Official
- Name
- BHUPAT DESAI, MD
- Title
- PRESIDENT
- Phone
- (909) 982-2719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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