| NPI | 1942735923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES GAVINO ALVAREZ DE LA LLANA Owner 760-646-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A54374) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |