| NPI | 1891352944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY WON-CHEN LEUNG Medical Director 951-358-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |