| NPI | 1447394531 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | JOSE CARLOS CHAVEZ Nurse Practitioner 951-924-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: CA 14641) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-08-06 |