NPI | 1295093953 |
---|---|
Other Name | COMP |
Entity Type | Organization |
Authorized Contact | GREGORY JOSEPH SPEER Administrator 951-222-2206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A48324) |
207Q00000X Family Medicine (Licence: CA 20A5982) | |
207R00000X Internal Medicine (Licence: CA A48512) | |
208D00000X General Practice (Licence: CA G70519) | |
208D00000X General Practice (Licence: CA 20A9190) | |
208D00000X General Practice (Licence: CA G72529) | |
Enumeration Date | 2012-05-01 |
Last Update Date | 2015-04-14 |