NPI | 1326145756 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA C JACKSON President 951-694-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a053675) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |