| NPI | 1104037092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FLORA GALLARDO TRIMOR-TAMORIA Owner 619-267-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A55589) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-05-07 |