NPI | 1417794249 |
---|---|
Former Legal Business Name | AMPARO |
Entity Type | Organization |
Authorized Contact | JOSE PARTIDA CORONA Owner / Medical Director 702-528-9828 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
207RA0401X Internal Medicine, Addiction Medicine | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-10-09 |