| NPI | 1801040688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT SHAW President 951-781-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G15265) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |