| NPI | 1679876718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN DIEGO GONZALEZ President 916-990-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 11B2134) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |