| NPI | 1093264202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLY NOEL Medical Director 951-461-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2021-05-13 |