NPI | 1336839992 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA VILLANUEVA Compliance Officer/Secretary 951-236-9406 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1800X Clinic/Center Corporate Health |
Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-05-08 |