| NPI | 1033532668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE GOMEZ MORAYTA Chairperson/Md 971-285-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD165430) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-04-09 |