| NPI | 1770467888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA TORRES Credentialing Manager 951-800-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-12 |