| NPI | 1881142545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL DIAZ President/Owner 951-688-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A76805) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |