| NPI | 1679700579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA J COLLEN Office Administrator 951-271-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 00G210320) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |