NPI | 1649015942 |
---|---|
Entity Type | Organization |
Authorized Contact | VIEN D DOAN Medical Director 951-784-7406 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-06-27 |