NPI | 1114560083 |
---|---|
Doing Business As | SIN FRONTERAS HEALTH AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | RAUL LOPEZ CEO/ President 323-725-6292 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2019-10-23 |
Last Update Date | 2020-12-14 |