| NPI | 1033006309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON GEOVANNY MINERA President 951-289-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-09-18 |