| Organization Name: | SESPE MEDICAL, INC. |
| NPI Number: | 1336385244 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE LUIS BAUTISTA (MEDICAL DIRECTOR) |
| Mailing Address: | 552 Sespe Ave Fillmore |
| State: | CA US |
| Postal Code: | 93015 |
| Phone Number: | 8055242559 |
| Fax Number: | 8055242596 |
| NPI Enumeration Date: | 12/23/2008 |
| NPI Last Update Date: | 11/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |