| 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 |