| NPI | 1356322895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TWEEDELL Deputy Director 951-358-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g83499) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CA 250000544) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-03-07 |