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 |