| NPI | 1568531036 |
|---|---|
| Doing Business As | EL DORADO-PALMDALE |
| Entity Type | Organization |
| Authorized Contact | MANUEL TAPIA Billing Specialist 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 960001031) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-09-24 |