NPI | 1912061052 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO T CACERES Medical Director 661-725-6461 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g377331) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2012-06-01 |