| NPI | 1972660280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL MITZNER President 951-506-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5898) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |