| NPI | 1669198206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST DANIEL MORENO DYTIAPCO President 805-792-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |