| NPI | 1023400322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE SANDERFER Persident 951-737-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 39736MD) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |