NPI | 1073664504 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFAEL VERGARA President 714-898-1448 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a52192) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |