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 |