NPI | 1215022918 |
---|---|
Former Legal Business Name | CLINIC MEDICA CALIFORNIA |
Entity Type | Organization |
Authorized Contact | LELAND MATHEW LUNA Medical Director 909-467-1605 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-09-18 |