| NPI | 1780782557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY D ATWOOD Director Business Services 951-782-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 152W00000X Optometrist |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |