| NPI | 1295107407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BARRETT CEO 951-734-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA52942) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |