| NPI | 1568573160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARATH C WITANA Medical Doctor 951-243-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A50338) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-03-08 |