| NPI | 1790081347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA MARIA GOMEZ Owner/Physician 661-400-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A94489) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2011-11-10 |