| NPI | 1033676317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA SANCHEZ Operations Manager 951-682-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-10-13 |