| NPI | 1942833025 |
|---|---|
| Other Name | SAN JUAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSE SERGIO SANDOVAL Authorized Official 562-716-5620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |