Organization
INNOVATIVE NETWORK GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE SUYENAGA M.S.,M.T. (MANAGING PRINCIPAL)
(310) 462-0621
Entity
Organization
Contact information
Practice address
13200 CROSSROADS PKWY N STE 315, CITY OF INDUSTRY, CA 91746-3420
(310) 462-0621
Mailing address
13200 CROSSROADS PKWY N STE 315, CITY OF INDUSTRY, CA 91746-3420
(310) 462-0621
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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