NPI | 1902193170 |
---|---|
Entity Type | Organization |
Authorized Contact | LETICIA AMADOR Physician Assistant 951-684-4310 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G55320) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2013-04-18 |