| NPI | 1841710092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE M LOPEZ Manager 951-719-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-06-16 |