NPI | 1780122960 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS ALVAREZ Primary Care Doctor 661-489-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004591) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2019-01-08 |