Moothedath a Menon
Moothedath a Menon is an Ambulatory Surgical Clinic/Center in Apple Valley, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
18056 Wika Rd Ste AApple Valley, CA 92307-2125
Phone: (760) 242-1090
Fax: (760) 247-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence A41105 (CA) |
|---|
Record details
| NPI number | 1477572675 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Moothedath Menon — Physician · (760) 242-1090 |
| Other names | Wika Endoscopy Center |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | October 15, 2008 |
| Mailing address | 18056 Wika Rd, Suite A, Apple Valley, CA 92307-2125 |
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