| NPI | 1942860853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A J ROGERS CEO 951-744-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2026-09-28 |