| 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 (Licence: NM 89-197) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-03-11 |