| NPI | 1700610045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY MORENO Manager 951-334-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |