| NPI | 1417988379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M WITTLES President 951-600-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G43641) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G48314) |
| 174400000X Specialist (Licence: CA G75943) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |