NPI | 1972955730 |
---|---|
Entity Type | Organization |
Authorized Contact | JAVIER R RIOS Medical Director 951-354-3221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2016-07-05 |
Last Update Date | 2022-06-06 |