| NPI | 1174808802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALES Vice President/Network Strategy 951-788-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |