| NPI | 1013276575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA S. TIENG Md 909-255-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A106477) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-01-25 |