NPI 1689261729
Iemisi
Practice location
- Address
- 1902 Fullerton Ave # 1, Corona, CA 92881-3112
- Phone
- (951) 479-8994
Authorised official
- Name
- Michael Sedrak
- Title
- Director
- Phone
- (310) 728-0494
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1689261729
- Entity type
- Organization
- NPI issued
- 23 Dec 2020
- Record last updated
- 23 Dec 2020
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.