| NPI | 1568416097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSENIO I. JIMENEZ President 760-703-0691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 204039) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-11-08 |