| NPI | 1518140540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DALTON ATWOOD Director, Business Office 951-782-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2022-07-21 |