| NPI | 1669523759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANYASI R GANTA President 951-925-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: CA A70985) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA A70985) |
| 207Q00000X Family Medicine (Licence: CA A70985) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-12-16 |