| NPI | 1902784796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LOPEZ Medical Director 480-889-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |