| NPI | 1649416850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SANTOS FLORES Medical Doctor 951-658-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A55336) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |