NPI | 1073058103 |
---|---|
Entity Type | Organization |
Authorized Contact | SADIQ MANDILAWI Co Owner 909-596-4879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2016-12-28 |
Last Update Date | 2018-04-23 |