NPI | 1770702821 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN ANTHONY BYRNE Owner 951-461-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A39837) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |