| NPI | 1477350817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE CAMACHO Admin 661-978-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |