| NPI | 1194947200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA M. PALANCA-CAPISTRANO President 951-372-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A91568) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-02-15 |