NPI | 1174621585 |
---|---|
Doing Business As | FONTANA CLINICA MEDICA FAMILIAR |
Entity Type | Organization |
Authorized Contact | OCTAVIO RUIZ-VILLALPANDO Medical Director/ Owner 909-854-3790 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-02-20 |