NPI | 1538469754 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT DOMINIC LOPES Owner/Physician 661-947-4124 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A40232) |
Enumeration Date | 2010-10-22 |
Last Update Date | 2010-10-22 |