| NPI | 1528704194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ALLEN Im Program Coordinator 951-765-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |