| NPI | 1073262929 |
|---|---|
| Doing Business As | EDGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MIKE ZUNIGA CEO 909-870-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2022-06-06 |