| NPI | 1134294788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E. RUIZ-RESTREPO CEO 661-822-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA C41382) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-03-23 |