| NPI | 1114093028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DONALD COCHRAN Owner 951-737-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 207R00000X) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |