| NPI | 1912029091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIKSHA S PATEL Director 951-689-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A78581) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-08-17 |