| NPI | 1710284427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIANE SWANSON Account Manager 951-738-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A62459) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |