| NPI | 1295858579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE VASQUEZ CONTRERAS Owner 408-629-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G45510) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-12 |