| NPI | 1114339207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAPMAN Administrator 951-353-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2020-06-23 |