NPI | 1861513525 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB N FLORES Owner 714-953-6430 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A60865) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA W11619) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2011-03-09 |