| NPI | 1447908264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HERNANDEZ-RODRIGUEZ President 951-956-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-15 |