| NPI | 1992022123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN HAZEL CALINISAN Medical Director 951-677-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA 385348) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |