| NPI | 1518281450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO TERESA M. OCAMPO President 951-695-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A52309) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |