| NPI | 1336918507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO ADOLFO PAREDES President 760-514-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-01-02 |