NPI | 1457676249 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK BARTLETT KISTLER President 951-682-6263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C26186) |
Enumeration Date | 2010-04-05 |
Last Update Date | 2010-04-05 |