| NPI | 1043721939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TERESI Human Resource Supervisior 909-771-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 450731) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |