| NPI | 1548362973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY D ATWOOD Director Business Services 951-782-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-07-21 |