| NPI | 1518598119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL MEZA Administrator 877-227-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2024-04-20 |