| NPI | 1831602655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO RUIZ-VILLALPANDO Medical Director 909-219-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92039) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |