| NPI | 1841592532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GARY MADISON Owner/President 951-784-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC11474) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2017-01-06 |