NPI | 1417351420 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTEBAN SANTE PONI President/Owner/Medical Director 909-888-5281 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A93185) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2023-10-31 |