| NPI | 1255525937 |
|---|---|
| Doing Business As | MEDICAL DOCTOR |
| Entity Type | Organization |
| Authorized Contact | TERESA TIRADO Office Manager 909-484-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G066813) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2024-11-05 |