NPI | 1316005572 |
---|---|
Entity Type | Organization |
Authorized Contact | SURYA M REDDY President Owner 951-925-2523 |
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 | 2024-10-30 |