| NPI | 1023398468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ARTEAGA President / Owner 909-890-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 202469) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |