NPI | 1770461220 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW EPSTEIN Owner 951-801-2513 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-08-23 |
Last Update Date | 2025-08-23 |