| NPI | 1851625396 |
|---|---|
| Doing Business As | LAKE ELSINORE CLINICA MEDICA FAMILIAR |
| Entity Type | Organization |
| Authorized Contact | OCTAVIO RUIZ-VILLALPANDO President 951-245-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92039) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |