| 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 |