| NPI | 1336529148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTE GONZALEZ Credentialing Manager 951-340-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A49536) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A49536) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-07-20 |