| NPI | 1457442121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A WILLIAMS Owner 951-696-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G76077) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-07 |