| 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 |