| NPI | 1811417652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLDO PUGA Medical Director/President 661-845-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A85474) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA12281) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |