| NPI | 1215909130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCIA T TAMPOYA Physician Owner 909-466-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A47994) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-11-21 |