| NPI | 1619610086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GARCIA President 951-216-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-26 |