| NPI | 1346837945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS MARTIN Manager 951-312-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |