| NPI | 1225186505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINA M. BRESENO President 951-653-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A50599) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |