| NPI | 1043658990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDAI WILLIAMS Medical Education Coordinator 951-827-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QC0050X Clinic/Center, Critical Access Hospital |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-29 |