| NPI | 1962761445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN AHDOOT Owner 951-699-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA BUS10-00083) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-25 |