| NPI | 1972861797 |
|---|---|
| Other Name | COMP |
| Entity Type | Organization |
| Authorized Contact | GREGORY JOSEPH SPEER Administrator 951-222-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A48324) |
| 207Q00000X Family Medicine (Licence: CA C41297) | |
| 207Q00000X Family Medicine (Licence: CA 20A5982) | |
| 207Q00000X Family Medicine (Licence: CA A36269) | |
| 207R00000X Internal Medicine (Licence: CA A48512) | |
| 207R00000X Internal Medicine (Licence: CA A92637) | |
| 208D00000X General Practice (Licence: CA G72529) | |
| 208D00000X General Practice (Licence: CA G70519) | |
| 208D00000X General Practice (Licence: CA 20A9190) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA11255) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA52001) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2020-05-04 |