| NPI | 1487736609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED GARCIA President 800-700-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A24259) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A24259) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |