NPI | 1396859237 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TWEEDELL Deputy Director 951-358-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85781) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 250000680) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-03-07 |