| NPI | 1093987547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASEF Y ATIYA Owner 951-658-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A32839) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |