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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