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 |