| NPI | 1588557524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYDETTE BREWAH Practice Owner 951-500-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-06-03 |