| NPI | 1295927408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F. CARRASCO President 951-566-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G82091) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2007-08-11 |