| NPI | 1306230206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BOWMAN Excecutive Director 951-514-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-04-27 |