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Moothedath A Menon
Ambulatory Surgical Clinic/Center in Apple Valley, California
NPI 1477572675

Moothedath A Menon is an Ambulatory Surgical Clinic/Center based in Apple Valley, CA and is specialized in Ambulatory Surgical. Moothedath A Menon practices in Apple Valley, CA. The NPI Number for Moothedath A Menon is 1477572675 and holds a License No. A41105 (California).

The current practice location address for Moothedath A Menon is 18056 Wika Rd, Apple Valley, CA and can be reached out via phone at 760-242-1090 and via fax at 760-247-1415.

Location: 18056 Wika Rd, Apple Valley, CA, 92307-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477572675
Provider Name
Moothedath A Menon
Credential
Provider Entity Type
Organization
Address
18056 Wika Rd, Apple Valley, CA, 92307-2125
Phone Number
760-242-1090
Fax Number
760-247-1415
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18056 Wika Rd
City
Apple Valley
State
California
Zip
92307-2125
Phone Number
760-242-1090
Fax Number
760-247-1415
person
Provider Business Mailing Address Details
Address
18056 Wika Rd
City
Apple Valley
State
California
Zip
92307-2125
Phone Number
760-242-1090
Fax Number
760-247-1415
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
A41105 (California)
Definition
Definition to come...
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