| NPI | 1578958047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALEN UKACHI EMERUWA Administrator 951-735-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-02-07 |