| NPI | 1023616240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA ESHAFANE Md And Owner 909-354-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |