| NPI | 1336492974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMASEELI E MOSES Clinical Services Coordinator 951-715-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA A046492) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |