| NPI | 1689156200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHI GHANI SHARIF Md 951-658-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA c042984) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-08-20 |