| NPI | 1295692069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HONG Owner 951-290-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |