| NPI | 1043614316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P KRIEG Physician 951-672-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 52048) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |