NPI | 1265829766 |
---|---|
Doing Business As | SAN ANTONIO COMMUNITY CLINIC INC. |
Entity Type | Organization |
Authorized Contact | ANTNONY KINGSLEY President 626-539-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2015-04-22 |
Last Update Date | 2022-02-14 |