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 |