| NPI | 1518114677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FOUTZ Chief Financial Officer 951-791-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |