| NPI | 1104187103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING M. FELDKAMP IV Owner 909-382-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-08-18 |