NPI | 1447805544 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN BROWN Owner 951-440-1652 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2019-08-06 |
Last Update Date | 2019-11-12 |