Organization
SALUD OPTIMA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA IZVERNARI NURSE PRACTITIONER (FOUNDER)
(951) 306-9888
Entity
Organization
Contact information
Practice address
1031 E LATHAM AVE STE 1, HEMET, CA 92543-4425
(951) 306-9888
Mailing address
1031 E LATHAM AVE STE 1, HEMET, CA 92543-4425
(951) 306-9888
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G554810
CA
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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