| NPI | 1629257191 |
|---|---|
| Other Name | SAN SEBASTIAN FAMILY MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | EDUARDO SANTOS UY President 909-886-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2013-02-28 |