NPI | 1356098545 |
---|---|
Entity Type | Organization |
Authorized Contact | TITIAN OGO TITTLE CEO 951-305-5424 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-03-07 |