NPI | 1760490569 |
---|---|
Entity Type | Organization |
Authorized Contact | MUSTAFA FIROZ Physician/Owner 951-479-1980 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C51487) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA c51487) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |