| NPI | 1922329127 |
|---|---|
| Doing Business As | SAN CLEMENTE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SUSAN YVONNE MELVIN President/CEO 562-933-0053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5075) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |