| NPI | 1043583107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANITO D SEVILLA President/Owner 619-470-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A37097) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |