| NPI | 1124251632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TRAGOON President/Owner 909-379-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A35998) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-09-14 |