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Organization
SOUTHERN CALIFORNIA ASSOCIATED NEUROLOGISTS IPA INC
Active
Organization
SOUTHERN CALIFORNIA ASSOCIATED NEUROLOGISTS IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPAT DESAI MD (PRESIDENT)
(909) 982-2719
Entity
Organization
Contact information
Practice address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(909) 982-2719
(909) 946-9931
Mailing address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(909) 982-2719
(909) 946-9931
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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