| NPI | 1053650994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-08-28 |