| NPI | 1366623969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO BAENS RAMOS President 760-320-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A60764) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2015-09-01 |