| NPI | 1033399415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PERKO CFO 909-335-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207N00000X Dermatology | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP17104) | |
| 367A00000X Advanced Practice Midwife (Licence: CA NMW1008) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2009-11-04 |