| NPI | 1669995924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDHYA VENKATA KOKA President 951-566-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A60821) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |