| NPI | 1053660662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY A LIQUETE Owner 951-697-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A49014) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |