| NPI | 1306106000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON IZQUIERDO Physician 909-289-4947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A117127) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |