| NPI | 1184067829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBTESAM M RAFEEA President 951-992-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301085086) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-12-18 |