| NPI | 1962560235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SANDOVAL MARTINEZ Office Manager Chief Financial Offi 951-656-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A32000) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A32000) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A32000) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |