| NPI | 1073602314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA SONIA ARTEAGA-HERNANDEZ Medical Director 909-873-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A63627) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A50128) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-03-03 |