NPI | 1700871001 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN EWALT HAMILTON Director CEO 951-788-0210 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G22428) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2012-12-28 |