Moothedath a Menon
NPI #1477572675 in Apple Valley, California
Provider Information
- NPI Number
- 1477572675
- Entity Type
- Organization
- Organization Name
- Moothedath a Menon
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Oct 15, 2008
Practice Location
- Address
- 18056 WIKA RD
- Address 2
- SUITE A
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-2125
- Phone
- (760) 242-1090
Authorized Official
- Name
- MOOTHEDATH A MENON, MD
- Title
- PHYSICIAN
- Phone
- (760) 242-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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