NPI 1093059180

Mvp Family Practice & Sports Medicine, INC

Organisation Specialist Downey, CA

Practice location

Address: 8207 3rd St STE 205, Downey, CA 90241-3731
Phone: (562) 923-4687
Fax: (562) 923-4688

Authorised official

Name: Ramon Castellon Gonzalez
Title: Administrator
Phone: (562) 923-4687

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A67059 (CA)

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Registry record

NPI: 1093059180
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.