| NPI | 1992814602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIANE SWANSON Account Manager 951-738-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G69216) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-06-21 |