| 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 |