| NPI | 1508556465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ SHEPHERD Director Of Credentialing 951-256-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |