| NPI | 1356353361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOWBRAY P. HAGAN President 951-734-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A29431) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-09-07 |