| NPI | 1366508947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE MARTINEZ Owner 951-461-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: CA A49113) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |