| NPI | 1598597015 |
|---|---|
| Doing Business As | OVALLE, M.D. |
| Entity Type | Organization |
| Authorized Contact | ALFREDO OVALLE Medical Provider 707-392-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |