| NPI | 1063824183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA R PATEL Family Medicine/Owner 909-991-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A109224) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |