| NPI | 1265993703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KIM CEO 951-907-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207Q00000X Family Medicine | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |