| NPI | 1114989241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M WALKER Contracts Administrator 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2022-03-14 |