| NPI | 1124285465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICHIEN K KARNAVY M.D/President 909-982-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A34414) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |