| NPI | 1851830699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER SANNOUFI Owner 951-682-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c53604) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-11-13 |