| NPI | 1922314947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATTS LOUISE JUANITA Medical Director 951-901-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G50758) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |