| NPI | 1033665252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHIR SANGHVI Sole Owner 951-323-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A115171) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-29 |