| NPI | 1346496213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN SAN DIEGO VELASQUEZ President 707-644-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a26381) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |