| NPI | 1134345952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L SAKS Director 951-274-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 33-67215) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-04-24 |