| NPI | 1215103304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TORRES Owner 951-279-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A91739) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-09-29 |