| NPI | 1962617332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN CASSIM DOO President 951-278-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A65648) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-08-04 |