| NPI | 1992120794 |
|---|---|
| Doing Business As | MOTION SPORTS MD |
| Entity Type | Organization |
| Authorized Contact | GERARDO WILLIAM HIZON President / Physician 951-790-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G55359) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G55359) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2016-07-04 |