| NPI | 1588344915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA NEWBOLD Owner 951-314-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |