| NPI | 1902697832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ERIC MADRID Chief Medical Officer 951-676-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |