| NPI | 1023506672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO J. VALENZUELA President 909-580-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-05-29 |