NPI | 1487191516 |
---|---|
Entity Type | Organization |
Authorized Contact | GERARDO CANCHOLA Owner 714-662-7710 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G55328) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2022-11-15 |