Organization · Type 2 NPI
Moothedath A Menon
Ambulatory Surgical Clinic/Center · Apple Valley, CA
NPI number
1477572675
Active
Practice location
18056 Wika Rd, Suite A
Apple Valley, CA 92307-2125
Fax (760) 247-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | A41105 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1477572675
Moothedath A Menon's National Provider Identifier is 1477572675, issued on Jul 19, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Apple Valley, CA. The record was last updated on Oct 15, 2008.