| NPI | 1447455423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE GUTIERREZ Manager 951-652-8700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A118890) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-09-13 |