| NPI | 1992950703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NA'IMAH D POWELL Owner 951-674-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g72993) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |