| 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 |