NPI | 1194712315 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH ANN NOVELLINO Executive Director 951-774-2881 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Y00000X Otolaryngology |
Enumeration Date | 2005-10-03 |
Last Update Date | 2013-07-03 |