| NPI | 1043568066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELQUIADES RIVERO VALENZUELA President 661-948-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A24933) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |