| NPI | 1710325683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCE LOPEZ Medical Billing Coordinator 760-863-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A64634) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2014-03-17 |