| NPI | 1932110632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE GARCIA Billing Manager 951-217-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-12-20 |