| NPI | 1154554608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL FUCHIGAMI-BOST, RN COO 951-252-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA 0900009973) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |