NPI | 1639349426 |
---|---|
Doing Business As | OPTIMUM MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | BENITO GALLARDO Medical Director 575-521-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 89-197) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2011-03-11 |