| NPI | 1003870676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA J. TAN Manager / Secretary Of P.C. 951-485-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A45416) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |