| NPI | 1124582424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANKO N. HUISA-GARATE Partner 951-462-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |