| NPI | 1497147847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIKANDA RAJA President 951-658-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-04-09 |