| NPI | 1093006819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO RUIZ-VILLALPANDO President 951-204-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92039) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |