| NPI | 1528049095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELAM GUPTA Physician 951-654-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A45395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A45395) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-10-31 |