| NPI | 1619374741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELYNDO SALCEDO President 909-471-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21547) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-12-13 |