NPI | 1235439324 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEJANDRO MERCADO President / Physician 916-550-2488 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A 56343) |
Enumeration Date | 2010-10-24 |
Last Update Date | 2014-02-03 |