| NPI | 1316005572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURYA M REDDY President Owner 951-566-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-09 |