| NPI | 1104369982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA NICOLAS Sr. Human Resources Clerk C 951-358-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: CA IMF 85468) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |