| NPI | 1689865776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORWORN RATTIDHAM President 951-943-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A25955) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |