| NPI | 1891251849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL PENUNURI Medical Director 951-242-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |