| NPI | 1700295607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY CARPENTER President, COO 951-782-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |