| NPI | 1730258765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO J. VALENZUELA President 909-580-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-05-29 |