| NPI | 1295028140 |
|---|---|
| Doing Business As | MOTION SPORTS MD |
| Entity Type | Organization |
| Authorized Contact | GERARDO WILLIAM HIZON President / Physician 951-790-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G55359) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2014-08-25 |