| NPI | 1508524083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN MATHIAS President 951-533-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2022-02-14 |