| NPI | 1700295607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUPAM GUPTA Medical Director 951-683-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-06-09 |