| NPI | 1134133713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADINA ALLAN FRONIUS Credentialling Controller 951-265-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-09-26 |