| NPI | 1356671804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUELITO M FERNANDO Medical Officer 951-785-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A22142) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |