| NPI | 1518229806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM SUSAN MOGHADAM President 951-769-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A86456) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-03-07 |