| NPI | 1104043835 |
|---|---|
| Doing Business As | SAN RAFAEL COMMUNITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAFAEL CARCAMO President 909-865-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00A666750) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |