| NPI | 1194161703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RIVERO Owner 949-588-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A45653) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |