NPI | 1679231344 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIKA ESMERALDA ZARAGOZA Credentialing Manager 951-492-9614 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 103T00000X Psychologist |
103TR0400X Psychologist, Rehabilitation | |
111N00000X Chiropractor | |
111NR0400X Chiropractor, Rehabilitation | |
111NX0800X Chiropractor, Orthopedic | |
261QP2000X Clinic/Center, Physical Therapy | |
261QP2300X Clinic/Center, Primary Care | |
261QP3300X Clinic/Center, Pain | |
Enumeration Date | 2021-11-30 |
Last Update Date | 2021-11-30 |