| NPI | 1215358502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS K MILLER CEO 951-694-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A8981) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |