| NPI | 1043458268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR ARDILA Physician 951-534-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A54539) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2011-10-27 |