| NPI | 1215131743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN C FELIX Owner/Doctor 951-248-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G75952) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-05-26 |