| NPI | 1558415380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT NORMAN WOELLER Physician Medical Director 951-461-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A7003) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-05-17 |