NPI | 1568567600 |
---|---|
Doing Business As | CLINICA MEDICA FAMILIAR DE MONTCLAIR |
Entity Type | Organization |
Authorized Contact | OCTAVIO RUIZ-VILLALPANDO President 909-626-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92039) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2008-12-01 |