| NPI | 1447361324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA PALACIO CARDENAS Owner/Physician 714-535-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A30768) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-30 |