NPI | 1417495920 |
---|---|
Entity Type | Organization |
Authorized Contact | OSVALDO A. LOPEZ Proprietor 951-331-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A61258) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2017-02-03 |