| NPI | 1679846190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINDA GUTIERREZ JIMENEZ Administrator 760-245-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A64270) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2013-03-25 |