| 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 |